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Kennon Deon Moses

Speech-Language Pathologist, in Tallahassee, FL. Individual provider (NPI-1).

NPI number1164064143
StatusActive
Last updated in NPPESAug 25, 2025

Details

NPI
1164064143
Entity type
Individual (NPI-1)
Name
Kennon Deon Moses
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2019
Certification date
Aug 25, 2025
Last updated
Aug 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ12741FLYes

Practice location

3139 Eliza Rd
Tallahassee, FL 32308-6254

Phone 850-727-7928

Mailing address

503 E Evans Ave
Bonifay, FL 32425-2339

Phone 850-768-2169

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